CARE WORKERS

Training for caring

In this article Patrick Brennan, who was Head of
Care at a Special School and who spent ten years as Director of a
one-year training course in Ireland, considers two separate aspects of
training

There
are no final solutions to the questions about training for those who
care for others. It is a debate that needs to be ongoing. As new needs
arise, new insights and skills will be required. No matter what these
may be, it is and always will be central and critical to any such
debate, carefully to understand the final 'objective' of such training.
In our field of the residential care of children and young people, it is
the child in care who must be the 'measure', the 'framework', the
'focus' of such training. It is by carefully studying and understanding
who that child is, where it has come from, where it might be going, and
the needs it has in the light of such a journey, that we need to design
our training courses.

Two levels
It can be very broadly stated, that two levels of need can be seen. The
first is fairly practical and easily understood. Children or young
persons need to be physically and safely cared for; they need
opportunities for intellectual development; they need stimulating and
recreative opportunities; they need to learn and master personal and
social skills that enable them to cope with the practicalities of daily
living, and which give them easy access to much that society has to
offer; and they need to develop vocational skills, some sense of
responsibility and accountability that may enable them to seek and
acquire worthwhile work. The second level of needs is much more complex
and subtle. The very fact that children are in residential care itself
is a disruption of what is seen as ordinary growing-up. It also denotes
that family, neighbourhood and community have found it difficult, or
indeed impossible to cope with them and to meet their needs. Invariably,
it is their 'behaviour' that brings them to the attention of the
authorities, either through missing school, disruption in the school,
stealing, weird behaviour “in fact, a whole litany of unacceptable or
inexplicable actions. Here we are now talking about the inner world of
the person seldom open to ordinary investigation, as so much of the need
arises from pain, anger, hurt, loss, trauma “often buried in the
subconscious. It is buried there either because what gave rise to it
happened in the earliest days of infancy, when the baby 'knew' that to
be left alone was to die, or later in childhood when the experiences
were so appalling and threatening that the child blocks out their memory
in order to survive.

Two dimensions to training
This two-fold aspect to caring suggests two dimensions to training.

1. The first of these is knowledge “knowledge about
human growth and development, personal and interpersonal skills. It
requires knowledge of the research and the literature. It requires
practical skills and drills. All of these may be easily listed and
agreed upon, and they form the subjects of a training course “for
example, psychiatry, psychology, sociology, social psychology, law,
first aid, recreational studies, play and art therapy, housekeeping and
homemaking. This is a list of subjects that may be added to, that can be
divided up in terms of hours, and so a programme or timetable can be
formulated. This is training in the strict sense “where in terms of the
eventual tasks, "knowledge about" and skills are determined and each and
every student must reach and acquire a specific level of awareness and
practice. So we have 'content'.

2. The second aspect is like the second level of needs
in the child “it is much more complex and subtle. How are the
"knowledge about" and the skills to be brought to focus on and be at the
service of grief, hurt, pain, loss, trauma, depression, self-harm,
self-destruction, anger, depravity, terror, deprivation, denial? These
are all emotions and feelings, the roots of which are buried in the
past, overlaid with 'survival techniques', and often there is not only
the lack of language ability to express them on the part of the child,
but there may be complete denial, a blank as to the causes. To meet
these dynamics, let alone seek to deal with them, requires more than
"knowledge about" and skills. Knowledge about something exists at a
completely different level from deep-seated feelings and emotions.
Indeed, in this context of care and help, such knowledge can be remote
and sterile. Skills deriving from such knowledge can be purely
mechanical. It is not uncommon to find that such knowledge is in fact
used by workers to defend themselves from the pain they encounter in the
child “there is much discussion and talking about the behaviours and
problems, and no real empathy or personal encounter and engagement with
the child. To illustrate this point, some years ago I was in hospital,
seriously ill, anxious and almost tormented by the possible outcome. For
seven weeks I was dealt with very professionally, but only once was I
'touched'. It was almost as if a fairly delicate piece of china of some
value was being packaged. Yes, the knowledge about the china and the
skill in packaging was there, but the awareness was not. After a while
one just folds, packs and ties the string. This second aspect of
training 1 would call the process as against the content.

Here-and-now
This process aspect, as distinct from the content, is the way that the
content is used to focus on this youngster in the here-and-now. The
insights into family dynamics are directed at enabling the child to own,
and purpose fully use for its own growth, the experiences it has had as
a member of its family. The value systems and problem solving techniques
acquired through 'culture' are examined in such a way that the child
begins to discern what its own values are rather than being overlaid by
passively accepted norms and systems. Looking at 'separation anxiety' is
to invite the child to re-experience those moments in its own life when
it felt abandoned or lost. Good knowledge and skills in hygiene and
homemaking are seen and experienced as potentially carrying very
significant messages for deprived and damaged children because these
emotional dimensions are the priority, rather than just skills to be
replicated. Such a process then, focuses on enabling the child to have
experiential knowledge about itself first. The knowledge is
internalised, it is incorporated into its very self. The process enables
it to use the tools of "knowledge about" and skills, in developmental
way, so that it becomes a process of self formulation, self
clarification, with a re-ordering of emotions and a re-evaluation of
past growth and experiences. It is a process of self discovery, where
purposes and meaning, alternatives and decision making, enrich the child
as a person. The child begins, perhaps for the first time, to see itself
grow, to understand how this happens, to recognise what may have been
(and may still be) blocks or denial, and how these may be dealt with. In
this way, understanding, sensitivity, empathy, an inner authority, a
reality and completeness in relationships, a certain robustness, are
brought into our interventions in children's lives. It is basically the
absence of these in the child's early and subsequent life that have
brought it into care in the first place.

Meaningful moments
The basis of such child care is thus shifted from "knowledge about" and
"things to do", to the making available to the child the human and
professional integrity of adults who, because they see themselves more
acutely and accurately, can discern those moments of enormous potential
and meaning in their meetings and moments with the child. They can feel
for and with the child, and yet not be overwhelmed by the pain and anger
in the child. They can allow the child to be vulnerable because they
know how to be vulnerable themselves, and the child then knows it is
safe, and may begin to take steps in its own life journey towards a self
formulation that is not only viable but valuable and rewarding. The
child can see adults who respect and accept each other, adults who can
disagree without their relationship falling apart or resorting to
violence. Self knowledge gives insight. Self awareness enables one to
discern the reality of another. Integrity equips one fully to confront
root causes “rather than simply address behaviour. This approach is
much more exploratory than didactic, more to do with tutorials, seminars
and counselling than with examinations, more to do with the real
interpreted encounters between students than with exercises and
role-plays, more the exercise of the individual than learning things to
do with the children. It is a workshop of growth and insight, of
exploration and analysis, drawing on the subjects as pointers to
enlightenment. It is to enable the child care worker in turn to
establish workshops of growth and development, of insight and healing
for the child, where the main tool of the work is the self of the
worker.

THE INTERNATIONAL CHILD AND YOUTH CARE NETWORK (CYC-Net)Registered
Non-Profit and Public Benefit Organisation in the Republic of South Africa
(031-323-NPO, PBO 930015296)